| Carrousel Health Care Corporation | |
|
1906 N John Young Pkwy Kissimmee FL 34741 | |
| (407) 994-4606 | |
| (888) 338-4430 |
| Full Name | Carrousel Health Care Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 1906 N John Young Pkwy, Kissimmee, Florida |
| Authorized Official Name and Position | Jose A Rivera (OWNER) |
| Authorized Official Contact | 4079944606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrousel Health Care Corporation 1906 N John Young Pkwy Kissimmee FL 34741 Ph: (407) 994-4606 | Carrousel Health Care Corporation 1906 N John Young Pkwy Kissimmee FL 34741 Ph: (407) 994-4606 |
| NPI Number | 1730692450 |
|---|---|
| Provider Enumeration Date | 11/16/2017 |
| Last Update Date | 02/20/2024 |
| Medicare PECOS PAC ID | 6709141849 |
|---|---|
| Medicare Enrollment ID | O20180521001542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730692450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Gilfredy Acevedo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1114997699 PECOS PAC ID: 2961651419 Enrollment ID: I20151222002007 |
| Provider Name | Maribel Lopez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1649349697 PECOS PAC ID: 2860408366 Enrollment ID: I20220620000284 |
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